Individual provider Active NPI

Tychele A Hulett, PTA, LMT, CLT, CCST

  • Massage Therapist
  • Gilbert, AZ
National Provider Identifier
1235975780
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-19660 Issued in AZ
Practice address
183 E Williams Field Rd Ste E-105
Gilbert, AZ 85295-5222
Phone
(480) 282-7124
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-19660 AZ Primary

Addresses

Primary practice location

183 E Williams Field Rd Ste E-105
Gilbert, AZ 85295-5222

Mailing address

91 E Palomino Dr
Gilbert, AZ 85296-2847
Phone (480) 282-7124

Other practice location 1

8400 S Kyrene Rd
Tempe, AZ 85284-2100
Phone (480) 282-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-19660AZMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1235975780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E PALOMINO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962847",
            "telephone_number": "480-282-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E WILLIAMS FIELD RD STE E-105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955222",
            "telephone_number": "480-282-7124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 S Kyrene Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852842100",
            "country_code": "US",
            "telephone_number": "480-282-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULETT",
        "first_name": "TYCHELE",
        "middle_name": "A",
        "credential": "PTA, LMT, CLT, CCST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-19660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.